Securing a licence to manufacture Class C World’s First AI-Based Smart Hemodialysis Machines is one of the toughest regulatory achievements in India’s med-tech regime. Class C devices fall under the high-risk, life-sustaining category, which means even a minor engineering or process deviation can directly impact patient survival. To obtain this licence, companies must demonstrate full compliance across nearly 140+ quality, safety, and risk-management parameters, including biocompatibility proof, electromechanical safety validation, sterility assurance, traceability of every component, rigorous documentation, and multi-stage plant audits. Very few manufacturers attempt this category because the bar for approval is comparable to global regulatory standards. This certification is therefore critical: it is the formal authorisation that allows LMIL to build advanced renal-care equipment domestically, reduce national dependence on imported machines, and ensure that India’s dialysis infrastructure is supported by globally benchmarked, fully compliant, life-saving technologies.